The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2007-9-17 ZON llil..; INITIALS., U DATE .-Y~l~ Oy SOURCE }.:t ~ ~~;~";;~~ ~;;;;; :;';1;~~;;~;:r3753 · FAX~\J<t689 City Job Number (\ J l-C()\~ Date --. Pump or irrigation $ 55,00 Sign/Outline Lighting $ 55,00 OWNER INST ALLA nON Limited Energy/Residential $ 28,00 The installation is beL~&..\U~sl..e on property I own which Limited Energy/Commercial $ 50.00 is not intended for saN,UMCS.:rent. Minimum Electric Permit Inspection Fee is $50.00 + Surcharges Owners Signature: l~~H6~~~~ 8:~~ :~R~J~Jrfl:lfrqrAL OFABOVE ~tX:>.W COMMENCED ~p. IS ABANDONED FO~o/~ State ~u~char~e f6.00 ANY 180 DAY PERIOD '~OYO AdmInistrative Fee lQ.f)() · 5% Technology Fee ~ct). \~p0 1. LOCATION OF INSTALLATION: 3. /6' 9/ #~ /kn_b '!L/~~ . .,,/ L'G~O~~~ 061(V JOB DESCRIPTIO~ ~~0\ ~nVfiJ!L Permits are no 'ytransferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY /"'Y/' , Electrical Contractor ~/2./S k/j.~~ E~rr.L//c Address '33 5'5P /ofj L~ /;"2) /rP g~5--:" 361'6 City (>A'~<il...!.E ~~ Phone 5J57 - 8..5:~ cr C'l:4:.. Supervisor License Number 522.8- 5 Expiration Date ItJ - tJ I - :z 00 7 Constr. Contr, Number 6Z3//' Expiration Date /2- - 2. / 2- DO? Signature of Supervising Electrician ~L~/k- ~~J owne"Na~~'p~ts Address ~S~~~~O~ 9( City .s..t:)C..\~ Phone \ '\ -- Inspection Request: 726-3769 COMPLETE FEE SCHEDULE BELOW A. New Residential--'Shlgleol' MI.lIti..Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq, ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $117,00 $ 21.00 f;OfV ~ ~ $1"00 _ B. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 70,00 $ 83,00 $138.00 $180,00 $413.00 $ 55,00 C.Temporary Services.ot"Feeders Installation, Alteration or Relocation 200 Amps or less $ 55,00 201 Amps to 400 Amps $ 76,00 401 Amps to 600 Amps $110,00 Over 600 Amps or UlOCi:WO~r~e~8'faw requJres YOU.t.O D. Branch Circllitfollow ruleaadoptedby the Oregon UtilIty . . I ~~Jhose rules are set forth New Alteration ~~11m -bb'1~lOthrough OAR 952-001- One Circuit =::[I1ay obtain r.n~IEli,a~the rules by Each Additional '"'.'.:'Cilljfri}me center. (No~: the te'~~ho~e Service or Feeder P~'rfi'ber for the Oregon. t1trtiWNatificatlon Center la 1-800-332-2344). E. Miscellaneous (Service/feeder not included) -Each Installation TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application 7-07,doc Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2007-00184 ISSUED: 09/17/2007 APPLIED: 02/08/2007 EXPIRES: 03/17/2008 VALUE: $ 49,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1696 HARBOR DR ASSESSOR'S PARCEL NO.: 1803023203700 Springfield TYPE OF WORK: Manufactured Home on Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace manufactured home Owner: FLORENCE F SUMMERS FAMILY TRUST Address: 2511 ROSE BLOSSOM DR SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Manuf Home Inst Contractor License KELLER ELECTRIC 142466 HARDACKER & OLEARY DEVELOPMENT 79496 BUILDING INFORMATION I Expiration Date 04/24/2008 02/19/2009 Phone 541-784-1533 541-895-4307 # of Units: 1 # of Stories: 1 Lot Size: Primary Occupancy Group: R-3 Height of Structure: Sq Ft 1st Floor: Secondary Occupancy Group: Type of Heat: Electric Sq Ft 2nd Floor: Primary Construction Type VB Water Type: Sq Ft Basement: Secondary Construction Type: Range Type: Sq Ft Garage/Carport # of Bedrooms: 2 Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: 53.00 Overlay Dist: Floodplain Total: 2 Side 1 Setback: 7.00 # Street Trees Rqd: 2 Handicapped: Side 2 Setback: 25.00 Paved Drive Rqd: Yes Compact: Rearyard Setback: 35.00 % of Lot Coverage: 18.00 Solar Setbacks: 21.00 I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspou ts/Drains: Notes: Relocated manufactured home on septic system, (Owner to obtain any/all necessary docs or apps from Lane County & provide to Building Division). SDC's charged on net sq/ft change in impervious area.JLP 2/27/07 Pal!e 1 of 4 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2007-00184 ISSUED: 09/17/2007 APPLIED: 02/08/2007 EXPIRES: 03/17/2008 VALUE: $ 49,000.00 225 Fifth Street, Springfield, OR .541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 9,500.00 39,500.00 Value Date Calculated Foundation Onlv Use Bid Amount Manuf Home Manufactured Home Total Value of Project $9,500.00 $39,500.00 $49,000.00 03/16/2007 04/13/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $90.09 2/8/07 1200700000000000133 + 10% Administrative Fee $35.74 3/19/07 1200700000000000295 + 5% Technology Fee $23.47 3/19/07 1200700000000000295 + 8% State Surcharge $28.59 3/19/07 1200700000000000295 Foundation Permit $107.40 3/19/07 1200700000000000295 Manuf Home State Issuance $30.00 3/19/07 1200700000000000295 Manufactured Home Conn - Plmb $45.00 3/19/07 1200700000000000295 Manufactured Home Placement $160.00 3/19/07 1200700000000000295 Plan Review Minor - Planning $112.00 3/19/07 1200700000000000295 SDC Sanitary/Storm Admin $8.93 3/19/07 1200700000000000295 Storm Drainage Impervious Area $178.55 3/19/07 1200700000000000295 Storm Sewer - 1st 50 Feet $45.00 3/19/07 1200700000000000295 Refund - Res Plan Review $-20.28 3120/07 VOUCHER #116440 + 10% Administrative Fee $10.00 9/17/07 1200700000000001200 + 5% Technology Fee $5.00 9/17/07 1200700000000001200 + 8% State Surcharge $8.00 9/17/07 1200700000000001200 Manufactured Home Feeder $50.00 9/17/07 1200700000000001200 Manufactured Home Service $50.00 9/17/07 1200700000000001200 Total Amount Paid $967.49 I Plan Reviews I Initial Review 02/10/2007 0211012007 APP NJM Pal!e 2 of 4 CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO: cOM2007-00184 225 Fifth Street, Springfield, OR ISSUED: 09/17/2007 541-726-3753 Phone APPLIED: 02/08/2007 541-726-3676 Fax EXPIRES: 03/17/2008 541-726-3769 Inspection Line VALUE: $ 49,000.00 Planninl! Review 02/10/2007 03/0212007 APP EMM Replaced submitted plot plan with approved plot plan from Flood Plain Development Review SHR2006-00004. THIS LOCA nON ON THE APPROVED PLOT PLAN MUST BE USED FOR PLACEMENT. Also enclosed conditions of the land use decision. Bottom of the lowest floor must be elevated 18" above the Base Flood Elevation 447.7 and a copy of the FEMA Elevation Certificate verifying this information along wiH the correct required venting must be submitted to Planning before occupancy is issued. No disturbance beyond the Greenway Setback line i5 permitted. Public Works Review 02/10/2007 02/27/2007 APP JLP Relocated manufactured home on septic system, (Owner to obtain any/all necessary docs or apps from Lane County & provide to Building Division). SDC's charged on net sq/fl change in impervious area.JLP 2/27/07 Structural Review 02110/2007 03/16/2007 APP DLM See documents for Plan review comments. To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. lJ~ouireCUnsoections I Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Manuf Home Set Up: When installation of all piers or stands is complete. Final Manuf Home Set Up: After all required inspections are requested and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc. have been installed. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. ManufHome Plumbing: After home has been connected to water and sewer. Pal!e 3 of 4 CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: COM2007-00184 ISSUED: 09/17/2007 APPLIED: 02/08/2007 EXPIRES: 03/17/2008 VALUE: $ 49,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. MH Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pal!e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00184 COM2007-00184 COM2007 -00184 COM2007 -00184 COM2007-00 184 Payments: Type of Payment Cred itCard cReceintJ RECEIPT #: Description Manufactured Home Feeder' Manufactured Home Service + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By CHRIS MILLER ELECTRIC City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000001200 Date: 09/17/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received IIh 66641 In Person Payment Total: Page I of I 10:04:44AM Amount Due 50.00 50,00 5.00 8.00 10,00 $123.00 Amount Paid $123,00 $123.00 9/17/2007